Edited from article by Deb Puterbaugh, Midwifery Today Sept 2022 We have a problem! Labor induction in the United States has more than tripled since 1990. The rate of induction of labor in the US has risen from 9.6% in 1990 to 31.4% in 2021, including 41.7% of first-time births. Induction of labor (IOL) is […]
Obstetrics, Midwifery, and Induction – ALARM BELLS Read Post »
Since 2018, unfortunate misinterpretation of the Arrive Trial has led to the routine protocol of induction of labor at 40 weeks or up to 40+5 weeks gestation, disregarding the 2 week margin of error in EDDs (estimated due dates) and all other evidence against induction of a healthy pregnancy. The results have been so profound
NEW STUDY COUNTERS THE ARRIVE TRIAL ON INDUCTION OF LABOR Read Post »
This article describes many helpful ways to utilize positions while laboring with an epidural. We usually think that if you have an epidural, you can’t move. The optimal physiology for birth is when women are up and moving about, following their bodies’ signals, and helping their babies navigate their way through the pelvis. When women
OPTIMIZING LABOR POSITIONS WITH AN EPIDURAL Read Post »
Edited from June 2021 Interview of CNM Stephanie Tillman https://evidencebasedbirth.com/ Founder Rebecca Dekker, PhD, RN and Henci Goer, Researcher, Childbirth U. Since the 2018 ARRIVE study, many care providers and the media are telling women that 39-40 week induction is better than waiting for labor to begin on its own, that it improves outcomes and
LABOR INDUCTION TREND Read Post »
Due Date Estimation Fallacies The following is a list of recent students’ baby’s birth weights alongside their arrival pre- or post- the EDD (“estimated due date”). These numbers validate the 2 week margin of error with the “due date” women are given. The weight tells us more about the readiness of the baby. Look at
Cervidil (FDA approved for vaginal use) Cytotec / Miso (On-label contra-indicated) Once a drug is approved by the FDA for a specific medical indication and put on the market, there is absolutely nothing to prevent any doctor from using that drug for any indication, in any dose, for any patient he or she chooses. Since
Cytotec/Miso for Cervical Ripening: What You Should Know Read Post »
